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Evaluation of Stepping Stones: a program to improve relationships and sexual health for systems-involved youth

Award Number: TP2AH000093
ORGANIZATION: OFFICE OF ADOLESCENT HEALTH
OPDIV: DHHS/OS
AWARD CLASS: DISCRETIONARY
AWARD ACTIVITY TYPE: DEMONSTRATION
PERIOD OF PERFORMANCE START DATE: 09/15/2023
PERIOD OF PERFORMANCE END DATE: 09/14/2028

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Evaluation of Stepping Stones: a program to improve relationships and sexual health for systems-involved youth - Public Health - Seattle & King County, in partnership with Policy & Research Group (PRG), proposes to conduct a randomized controlled trial of the Stepping Stones program as part of the OPA Teen Pregnancy Prevention Program (Tier 2B). Stepping Stones: Improving Relationships and Sexual Health is a 4-session, 1-on-1 health education program for male-identifying and nonbinary young people at risk of or involved in the juvenile justice and/or child welfare systems. It is a theory-driven, trauma-informed intervention, resting on motivational interviewing and social network theory to drive behavior change. Stepping Stones aims to prevent teen pregnancy, HIV and other STIs, and intimate partner violence. Stepping Stones will be tested using a randomized controlled trial involving 650 young people randomly assigned at a 1:1 ratio to receive either Stepping Stones or a time-equivalent control condition involving no sexual and reproductive health content. Study coordinators will recruit participants on a rolling basis through partner agencies that serve youth involved in the juvenile justice and/or child welfare systems. Participants will be surveyed at baseline, 3 months post-intervention and 9-months post-intervention. The study will explore the impact of Stepping Stones on frequency of condom use, number of sexual partners, receipt of STI testing, and intimate partner violence perpetration, as well as other behavioral and psychosocial antecedents and behaviors in the theory of change.


Issue Date FY	Funding FY	Legal Entity Name	Legal Entity Address	Legal Entity City	Legal Entity State	Legal Entity Zip Code	Legal Entity COUNTY	Legal Entity COUNTRY	Assistance Listing	Award Code	Budget Year	Action Date	Action Type	Action Amount

Issue Date FY: 2026 ( Subtotal = $0 )
2026	2025	KING COUNTY	401 5TH AVE	SEATTLE	WA	98104	KING	USA	Teenage Pregnancy Prevention Program	01	3	1/16/2026	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2026	2025	KING COUNTY	401 5TH AVE	SEATTLE	WA	98104	KING	USA	Teenage Pregnancy Prevention Program	02	3	1/22/2026	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2026	2025	KING COUNTY	401 5TH AVE	SEATTLE	WA	98104	KING	USA	Teenage Pregnancy Prevention Program	03	3	3/3/2026	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2026	2024	KING COUNTY	401 5TH AVE	SEATTLE	WA	98104	KING	USA	Teenage Pregnancy Prevention Program	02	3	1/22/2026	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2026	2024	KING COUNTY	401 5TH AVE	SEATTLE	WA	98104	KING	USA	Teenage Pregnancy Prevention Program	01	3	1/16/2026	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2026	2023	KING COUNTY	401 5TH AVE	SEATTLE	WA	98104	KING	USA	Teenage Pregnancy Prevention Program	01	3	1/16/2026	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2026	2023	KING COUNTY	401 5TH AVE	SEATTLE	WA	98104	KING	USA	Teenage Pregnancy Prevention Program	02	3	1/22/2026	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
														Subtotal = $0

Issue Date FY: 2025 ( Subtotal = $1,000,000 )
2025	2025	KING COUNTY	401 5TH AVE	SEATTLE	WA	98104	KING	USA	Teenage Pregnancy Prevention Program	00	3	8/29/2025	NON-COMPETING CONTINUATION	$1,000,000
2025	2024	KING COUNTY	401 5TH AVE	SEATTLE	WA	98104	KING	USA	Teenage Pregnancy Prevention Program	00	3	8/29/2025	NON-COMPETING CONTINUATION	$0
2025	2023	KING COUNTY	401 5TH AVE	SEATTLE	WA	98104	KING	USA	Teenage Pregnancy Prevention Program	00	3	8/29/2025	NON-COMPETING CONTINUATION	$0
														Subtotal = $1,000,000

Issue Date FY: 2024 ( Subtotal = $1,000,000 )
2024	2024	KING COUNTY	401 5TH AVE	SEATTLE	WA	98104	KING	USA	Teenage Pregnancy Prevention Program	00	2	8/27/2024	NON-COMPETING CONTINUATION	$1,000,000
2024	2023	KING COUNTY	401 5TH AVE	SEATTLE	WA	98104	KING	USA	Teenage Pregnancy Prevention Program	00	2	8/27/2024	NON-COMPETING CONTINUATION	$0
														Subtotal = $1,000,000

Issue Date FY: 2023 ( Subtotal = $1,000,000 )
2023	2023	KING COUNTY	401 5TH AVE	SEATTLE	WA	98104	KING	USA	Teenage Pregnancy Prevention Program	00	1	8/18/2023	NEW	$1,000,000
														Subtotal = $1,000,000

Grand Total All Awards = $3,000,000

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Evaluation of Stepping Stones: a program to improve relationships and sexual health for systems-involved youth

Award Number: TP2AH000093

ORGANIZATION: OFFICE OF ADOLESCENT HEALTH

OPDIV: DHHS/OS

AWARD CLASS: DISCRETIONARY

AWARD ACTIVITY TYPE: DEMONSTRATION

PERIOD OF PERFORMANCE START DATE: 09/15/2023

PERIOD OF PERFORMANCE END DATE: 09/14/2028

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